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Nursing home report

AVANTARA NORTH

RAPID CITY, SD · Medicare-certified · 68 beds

Needs attention
For-profitChain member
3 of 5 overall

AVANTARA NORTH (Rapid City, SD) has a 3 out of 5 overall rating, with 3-star health inspection, staffing, and quality ratings. Reported nurse staffing is 2.95 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $33,768 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.9547 hrs/resident/day

Quality measures

Last inspection: February 20, 2026Penalties, last 24 months: $33,768recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9547.

Staffing detail

Registered nurses
0.99
Licensed practical nurses
0.18
Nurse aides
1.78
Weekend nursing
2.46

Hours per resident per day.

Total staff turnover: 35%
Registered nurse turnover: 10%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

7.9%9.8%Worsening

Residents with a fall causing major injury

1.7%3%Worsening

Residents with pressure ulcers (bedsores)

5.2%3.5%Improving

Residents with a urinary tract infection

1.9%7.8%Worsening

Residents who lost too much weight

0%13.8%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

34%32.7%Improving

Residents whose ability to walk got worse

50.9%35.8%Improving

Long-stay residents on antianxiety or sleep medication

13%13.3%No change

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

1.8%6.2%Worsening

Residents with new or worsening incontinence

27.3%15.9%Improving

Residents with depressive symptoms

0%3.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.2%

Long-stay residents given the pneumonia vaccine

98.3%95.5%Worsening

Short-stay residents given the seasonal flu vaccine

86.1%

Short-stay residents given the pneumonia vaccine

80.6%70.8%Worsening

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: G

The nursing home failed to protect residents from abuse and neglect by others. Cited October 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $27,600 was recorded.

  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $6,168 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $33,768 in total fines.

  • Federal fine

    Aug 7, 2025

    $27,600
  • Federal fine

    Oct 7, 2024

    $6,168

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of LEGACY HEALTHCARE · 89 homes · 2.9 stars avg
Occupancy
66.6 residents on an average day (98% of 68 beds)
Resident voice
Resident council
Medicare history
Certified for 33 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.